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$77.97k - $141.37k
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement$77.97k - $140k
JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate...RiskRemote jobWork experience placement- Auditing Manager CPC Coders Hybrid work setting, Florida residency required As Mount Sinai grows, so does our legacy in high-quality health... ...the institution. Analyze audit findings and identify trends, risks, and opportunities for improvement. Team Leadership &...RiskWork at office
- ...reflect the true clinical picture, improving the quality of risk adjustment data, and ensuring compliance with CMS (Centers for Medicare... ...communication skills for interacting with medical professionals, coders, and other stakeholders. Education & Experience Associate\'s...RiskFull timeWork at officeWork from homeFlexible hoursWeekend work
- ...suppliers, services and product categories to assure supply, reduce risk and ensure compliance with Brand claims and government... ...variety of communication settings, attentively listens to others and adjusts their own style. Decision Quality: Makes good and timely decisions...RiskFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shift
Independent Purchasing Cooperative
Miami, FL6 days ago - ...impacted by project activities. Monitor progress of initiatives and adjust to ensure successful completion. Consult with leadership on... ...operations. Create and monitor a control environment and risk management practices. Additional Duties Participate in evening...RiskFull timeWeekend workAfternoon shift
University of Miami
Miami, FL18 days ago - ...Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) PRIMARY PURPOSE : To investigate... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
- ...Description: This job is responsible for resolving research and adjustment inquiries within the bank's practices and procedures. Key... ...and escalating matters or issues to leadership to ensure minimum risk occurs. Line of Business Job Description: Resolves Research...RiskWork at officeImmediate startShift workDay shift
Bank of America
Hialeah, FL17 days ago - ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
- ...Financial Services & Insurance Claims Examiner - Liability (REMOTE- NY Adjuster Lic Required) Are you looking for an opportunity to join a... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobLocal areaFlexible hours
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Miami, FL29 days ago - Overview Join to apply for the Aviation Adjuster role at McLarens Location: Miami - Hybrid, FL, US Date: Oct 3, 2025 Nearest Major Market... ..., the company offers comprehensive loss adjusting, claims, and risk management services, along with forensic technical services,...RiskLocal area
- ...investment in personnel and technology. Scope As a Litigation Adjuster, you will evaluate insurance claims that have entered the litigation... ...exposure. Notify underwriting of undisclosed underwriting risks. Collaborate with the special investigation unit (SIU) when...RiskTemporary workWork experience placementRemote workFlexible hours
$77.97k - $155.51k
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office- ...is an innovative and established organization looking for an IAA Adjuster (II) to join our team. Family-owned, UAIC, is one of the largest... .... EDUCATION: ~ Bachelor’s degree in insurance, risk management, or a related field (preferred). ~ Minimum of 2 years...RiskTemporary workRemote workFlexible hours
- ...department, overseeing at least four supervisors and their teams of adjusters. Establish clear performance expectations, conduct regular... .... Partner with internal departments (legal, underwriting, risk management) to support business objectives and mitigate risk...Risk
- ...Syndicated loans portfolio. This role is critical in ensuring sound risk management, regulatory compliance, and optimal asset performance... ...vision, peripheral vision, depth perception, and ability to adjust focus. Work Environment The work environment characteristics described...Risk
- ...to: - HEDIS (Healthcare Effectiveness Data and Information Set) metrics. - Billing and coding performance. - Medical Risk Adjustment (MRA) assessments. - Review monthly claims submitted by health plans/MSOs and make necessary corrections. - Evaluate RX Cost...Risk
Providence Community Center LLC
Miami, FL14 days ago $30k
...Lennar Corporate Risk Management Position We are Lennar. Lennar is one of the nation's leading homebuilders, dedicated to making... ...Manage the activity of the Third Party Administrators and/or adjusters on a daily basis with respects to all claims. Possess the ability...RiskLive inWork at officeLocal area- ...architects, engineers, subcontractors, and hospital stakeholders to ensure project success. Lead site meetings, progress reporting, and risk management efforts. Ensure compliance with healthcare construction codes, standards, and safety regulations. Qualifications...RiskPermanent employmentFull timeContract work
Conrad Consulting
Miami, FL3 days ago - Experienced Manager, Risk Advisory Services Join to apply for the Experienced Manager, Risk Advisory Services role at BDO USA Job... ...as needed Prepares periodic and timely billings, and manages adjustments to engagement realization, as needed Manages the engagement and...RiskWork at office
- ...Exempt Please let us know if you require any additional support or adjustments to be made in order to submit your application to Kennedys.... ...and Quality Management, refer any breach promptly to Risk & Compliance and to complete all mandatory training when requested...RiskFull timeApprenticeshipWork at officeWorldwide
- Overview The Senior Risk and Control Analyst supports the Consumer Direct (CD) and Third-Party Origination (TPO) channels for Lakeview... ...this job include close vision, color vision, and the ability to adjust focus. Lakeview is an Equal Employment Opportunity employer. All...RiskLocal areaRemote work
- ...Specialist collaborates with Accounts Payable, Compliance & Ethics, and Risk Management to support vendor record validation in alignment with... ...include distant, close and color vision, and ability to adjust focus. Working Conditions Miami based position with some travel....RiskFull timeWork at office
- ...Department Loss Prevention Reports To Director of Asset Protection and Risk Management Status Non-exempt Date Nov 2023 Broad Functions... ...data from the liquidation process and provides guidance in adjusting any mistake / discrepancies in the system. Pulls appropriate reports...RiskWork at office
- ...the relationship with the client and all stakeholders Perform risk management to minimize project risks Establish and maintain... ...completion of goals Meet budgetary objectives and make adjustments to project constraints based on financial analysis Develop comprehensive...RiskWork experience placementWork at office
- ...Job Title : Governance, Risk and Compliance (GRC) Analyst Department : INFORMATION SYSTEMS Office Name : Miami, Florida... ...color vision, peripheral vision, depth perception, and ability to adjust focus. SAFETY REQUIREMENTS: Report safety hazards. Immediately...RiskRemote jobWork at officeImmediate startFlexible hoursWeekend work
$75k - $95k
..., GCP, ICH Guidelines, ICH Q9, 21 CFR Part 11, Data Integrity, Risk Management, and Quality by Design principles. ~ Experience conducting... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a...RiskPermanent employment$100k - $250k
...familiarity with SDI mechanics, construction industry dynamics, or risk mitigation solutions. What You Can Expect From Us... ...from all and provide individuals with disabilities reasonable adjustments to participate in the job application, interview process and to...RiskFor contractorsSummer workFlexible hours- Security, Risk and Compliance Consultant Miami, Florida, United States WHO WE LOOK FOR An SEI-er is amaster communicator and active listenerwho... ...Self-aware, almost to a fault, SEI-ers keenly understand how to adjust their support and problem solving based on the situation....RiskPermanent employmentWork experience placement
